From:https://gothamist.com/news/coronavirus-updates-july-16-2020
疾病控制和预防中心的一份新报告证实，纽约市在疫情开始时的冠状病毒病例来自欧洲，引起了州长安德鲁·科莫的新一轮愤怒。周四下午，他在与记者的电话中说：“病毒来到了纽约，美国人因为政府的失败而死亡。”“这些都是事实，他们错过了科学。”
这份题为“基于社区的SARS-CoV-2感染的检测和遗传特征-纽约市，2020年3月“注意到”，纽约卫生和心理卫生部对流感样症状(ILS)进行了哨点监测和基因测序，以确定社区传播特征和确定SARS-CoV-2感染的地理来源。在544份ILS和流感试验阴性的标本中，36份(6.6%)为阳性。基因测序阳性标本与在欧洲流通的序列最相似。“
疾控中心还指出，虽然2月2日实施了国内机场检查和“禁止外国人从中国旅行”的禁令，但“欧洲申根地区的类似旅行限制直到3月13日才实施”，当时病毒已经在纽约。“虽然旅行限制是一项重要的缓解战略，但到欧洲实施限制措施时，SARS-CoV-2的进口和社区传播已经在纽约发生。”
库莫重申了欧洲旅行禁令为时已晚的观点，“总统喜欢谈论(中国航班)有效的旅行禁令……他自己的疾控中心说，旅行禁令太迟了。”他指出，3月初，来自欧洲的数千架飞机降落在肯尼迪机场和纽瓦克机场。
疾控中心的报告也支持西奈山的发现，四月出版也就是说，与纽约新冠肺炎患者相关的基因组类似于来自欧洲的病毒株。
一位沮丧的科莫警告说，“将有第二波，但这不会是一种变异的病毒.这将是一个反弹的COVID从其他州被感染，并将其传送回纽约。”
州长说这将是“联邦无能的双管猎枪”，并敦促说：“总统先生，请遵循科学，睁开眼睛，听听联邦卫生官员的意见。”
纽约的第四阶段不包括额外的室内活动，库莫说
下午1：30。纽约市州长安德鲁·科莫(Andrew Cuomo)周四在一次记者招待会上宣布，一旦纽约市进入新冠肺炎的最终重新开放阶段，该城市的第四阶段将不包括商场和文化机构等额外的室内活动。
纽约正在步入正轨第四阶段但库莫表示，最终决定要到下午4点才会公布。星期五。
纽约所有其他地区都进入了第四阶段，包括低风险的户外和室内活动，如动物园、花园、历史遗址、购物中心和博物馆。它还包括没有球迷的学校和体育比赛。
库莫没有说这些室内活动什么时候可以在城市重新开放。
库莫说，周三，14名纽约人死于冠状病毒。该州住院人数减少了18人，降至813人。在72,685例新冠肺炎试验中，阳性率约为1%-769例。
尽管感染率保持稳定，但这位州长强调，美国其他地方的感染率上升可能会对纽约造成伤害，并在酒吧和餐馆遵守社会距离规则方面增加了一倍。
“这是我们在纽约担心的事情之一，病毒来自高感染率的州。“我们很高兴帮助休斯顿，帮助亚特兰大，帮助全国各州应对这一问题，”他在休斯敦市长西尔维斯特·特纳(Sylvester Turner)参加的新闻电话会议上说，“作为美国人，这是正确的做法。”这也符合我们自己的利益，因为我们都在一起。“
一项新规定将允许官员在三次违反社会疏离规定后关闭一家机构。以前，官员可以吊销营业执照.
“如果我们不强制执行，病毒就会扩散，”库莫说。“就这么简单。如果你吃一块奶酪蛋糕，你明天就会看到它的规模。我们的行动会产生病毒的反应。”
库莫说，该州强制规定的对非州旅客的14天隔离规定的符合率为92%，这指的是在离开机场前填写表格的旅客。州官员对填写机场表格的人进行了随机检查，尽管他没有说有多少人被检查过。北部的一个县其感染率上升纽约人上周乘飞机从亚特兰大回来之后。
“这就像其他法律一样。你可以加快速度，是的，但如果你被抓住了，你就会得到罚单，“库莫说。他说：“这是州政府的一项全新职能。我们没有边境管制。这不是政府的职责。“
州长库莫发起全国蒙面运动
州长安德鲁·M·科莫今天发起了一场名为“蒙蔽美国”的全国性运动，其特点是来自大牌人物的简短公共安全协定。虽然这场运动是在全国范围内进行的，但它是由纽约制造的，所以这些景点也有#NYTough的座右铭。
摩根·弗里曼、罗伯特·德尼罗、凯特琳·迪弗、杰米·福克斯、约翰·勒吉扎莫、安东尼·麦基、罗西·佩雷斯、艾伦·庞培和杰弗里·赖特都为“公共服务协定”做出了贡献，这些作品由翠贝卡企业简·罗森塔尔制作，奥斯卡奖得主凯瑟琳·毕格洛执导。
由于其他州的感染率都在上升，这项宣传活动的目的是“敦促所有美国人在公共场合戴上口罩，以帮助阻止病毒的传播。”本周，佐治亚州州长布赖恩·肯普质疑口罩的重要性，并暂停当地口罩在该州的授权。 6park.com
库莫州长说：“当这场大流行病袭击我们的州时，纽约人遭受了严重的痛苦。当我们看到其他州与新冠肺炎的激增作斗争时，我们想要确保所有美国人都知道我们在这里所知道的--为了相互保护，戴上面具至关重要，”库莫州长说。“只有团结一致，而不是意识形态或政治分歧，我们才能战胜这种病毒。本着这种精神，我们与最优秀、最具创造力的团队合作，以多种方式、不同的声音传达这一重要信息--我戴着面具保护你，你戴着面具来保护我。这很简单。把美国掩盖起来。”
该运动与广告委员会合作，“供广播和数字媒体使用”，并将在全国范围内在捐赠的媒体时间播出。30秒的电视节目(其中两个现在可以观看)的标题是：“你尊重我”、“加入战斗”、“来吧，美国”、“爱的爱”、“轻松的电梯”、“面对事实”、“这是你的轮班”和“展示一些爱”。


2020年5月27日，纽约卫生+大都会医院急诊部的医务人员穿着个人防护设备工作，John Minchillo/AP/Shutterstock
新冠肺炎数据从CDC站点消失
本周，在特朗普政府强制将病人和医院容量数据发送给卫生和公共服务部(Department Of Health And Human Services)后，来自医院的有关病人和医院容量的数据从疾病控制和预防中心的网站上消失了。
换班，据“纽约时报”报道，“已经引起了卫生专家的恐慌，他们担心这些数据会被政治化或被公众拒之门外”，并促使前疾控中心负责人在“华盛顿邮报”上写了一篇题为“华盛顿邮报”的专栏文章。我们负责疾控中心。从来没有总统像特朗普那样把科学政治化."
疾控中心发言人今天上午告诉哥塔米斯特：“从2020年7月15日起，医院将不再向疾控中心NHSN报告新冠肺炎的产能、人员配置和供应相关数据。因此，NHSN医院将不再提供经报道的新冠肺炎数据摘要。”(更多信息可在这封HHS常见问题信.)
7月10日更新的指南部分指出：“以下[测试、容量和利用]数据将极大地帮助白宫冠状病毒任务组跟踪病毒的移动，查明医疗系统中潜在的毒株，并对供应品的分布进行信息通报。如果同时报告多个设施，则必须在设施和县一级详细报告这些数据，而不仅仅是汇总。数据必须按照规定的定义和格式提交。每公历日一次提交数据一次。” 6park.com
我本来希望这是个小故障，但.@ccgov医院容量仪表盘已经暗了。@CDCDirector已经说疾控中心仍然可以访问这些数据，但显然公众已经不再这样做了。Pic.twitter.com/FyRt7YHvKc
-Charles Ornstein(@charlesornstein)(2020年7月16日)
RyanPanchadsaram科维德退出战略, 告诉CNBC他们经常使用CDC的数据，但在周二，“我们感到惊讶，因为我们通常要去的模块是空的。数据是不可用的，而不是在那里。没有任何警告。”
据“泰晤士报”报道，以前通过它提交给疾控中心的数据国家保健安全网现在将被送往“新的集中式系统，由总部设在匹兹堡的医疗数据公司TeleTracking管理。然而，如果医院已经向本州报告了这些信息，他们可以继续这样做，如果他们收到一份书面声明，称国家将处理报告……疾控中心网络和由卫生和公共服务部(Health And Human Services)建立的远程跟踪系统都依赖所谓的推送数据，这意味着医院员工必须手动输入数据，而不是政府利用电子系统获取这些信息。”
在今早的一次采访中，HHS秘书亚历克斯·阿扎尔(AlexAzar)声称，该机构正在解决一个问题 6park.com
.@SecAzar告诉我@ccgov医院报告COVID 19数据的系统已经过时/不足。@HHSGov是平台，坚持疾控中心、地方和州领导人仍然可以访问。如果您以前可以看到数据，但现在是LMK：Pic.twitter.com/4brOyGu3CS
-魏家江(@威佳)(2020年7月16日)
退出战略的Panchadsaram对HHS数据有想法： 6park.com
.@SecAzar还说HHS平台在回答以下问题方面要好得多(见成绩单)https://t.co/0F6lSWqlfn一个追踪每个州的COVID 19进展情况的公共卫生和危机专家小组需要的答案与他们所说的无法再获得的答案相同：https://t.co/aBfz0yauG6 Pic.twitter.com/1npW6pMPG7
-魏家江(@威佳)(2020年7月16日)
美国健康信托，一个无党派的非营利医疗政策组织，把转移到HHS的数据新系统“适得其反”，并补充说，“这一新方法的规划并没有实质性地涉及地方、州、部落和/或地区各级的官员。这是一个支持公共卫生系统的时候，而不是采取可能破坏其权威和关键作用的行动。”

周四，HHS发言人迈克尔·卡普托告诉CNBC“是的，HHS致力于向美国公众公开它正在收集的关于冠状病毒的信息。因此，HHS已经指示CDC重新建立它在周三从公众中撤出的冠状病毒仪表板。”

Coronavirus Updates: CDC Report Confirms Early NYC COVID Transmission Was From Europe - Gothamist
This is our daily update of breaking COVID-19 news for Thursday, July 16th, 2020. Previous daily updates can be found here, and up-to-date statistics are here.
New York City is in Phase 3 of reopening now, which includes nail salons, tattoo parlors, and massage facilities as well as recreation like tennis and basketball courts; dog runs are also reopening. A look at preparing for the spread of coronavirus is here, and if you have lingering questions about the virus, here is our regularly updated coronavirus FAQ. Here are some local and state hotlines for more information: NYC: 311; NY State Hotline: 888-364-3065; NJ State Hotline: 800-222-1222.
Here's the latest:
A new report from the Centers for Disease Control and Prevention confirmed that the coronavirus cases in New York City at the start of the pandemic were from Europe, prompting a new round of outrage from Governor Andrew Cuomo. "The virus came to New York, and Americans died, because of government failure," he said in call with journalists on Thursday afternoon. "These are the facts. They missed the science."
The report, titled, "Detection and Genetic Characterization of Community-Based SARS-CoV-2 Infections — New York City, March 2020," notes, "The NYC Department of Health and Mental Hygiene conducted sentinel surveillance of influenza-like symptoms (ILS) and genetic sequencing to characterize community transmission and determine the geographic origin of SARS-CoV-2 infections. Among 544 specimens tested from persons with ILS and negative influenza test results, 36 (6.6%) were positive. Genetically sequenced positive specimens most closely resembled sequences circulating in Europe."
The CDC also noted that while domestic airport screening and bans "on foreign nationals traveling from China" were put in place on February 2nd, "similar travel restrictions from the Schengen Area in Europe were only implemented March 13th," when the virus was already in New York. "Although travel restrictions are an important mitigation strategy, by the time the European restrictions were implemented, importation and community transmission of SARS-CoV-2 had already occurred in NYC."
Cuomo reiterated the point about the European travel ban being too late, "The president likes to talk about the travel ban [on Chinese flights] that was effective... his own CDC says the travel ban was too late." He pointed out how there were thousands of flights from Europe landing at JFK and Newark Airports in early March.
The CDC report also bolsters Mount Sinai's findings, published in April, that said the genome associated with COVID-19 patients in NYC resembles a strain of the virus from Europe.
A frustrated Cuomo warned, "There will be a second wave, [but] it's not going to be a mutated virus... it's going to be a rebound of COVID from other states that got infected, transmitting it back to New York."
The governor said this would be a "double-barreled shotgun of federal incompetence," and urged, "Follow the science, Mr. President. Open your eyes. Listen to the federal health officials."
NYC's Phase 4 Won't Include Additional Indoor Activity, Cuomo Says
1:30 p.m. New York City's Phase 4 won't include additional indoor activity like malls and cultural institutions once the city moves into the final COVID-19 reopening phase, Governor Andrew Cuomo announced during a press call on Thursday.
NYC is on track to go into Phase 4 on Monday, but Cuomo said a final decision won't be announced until 4 p.m. Friday.
All other regions in New York have entered Phase 4, which includes low-risk outdoor and indoor activities like zoos, gardens, historical sites, malls and museums. It also includes schools and sports competitions without fans.
Cuomo didn't say when those indoor activities could reopen in the city.
On Wednesday, 14 New Yorkers died from the coronavirus, Cuomo said. Hospitalizations dropped by 18 to 813 in the state. The positivity rate was about 1 percent—769 of the 72,685 COVID-19 tests came back positive.
Though the infection rate remains steady, the governor emphasized infection increases elsewhere in the country could come back to hurt New York and doubled down on compliance of social distancing rules at bars and restaurants.
“That’s one of the things we’re worried about in New York is the virus coming from the states with the high infection rates. It’s our pleasure to help Houston, to help Atlanta, to help states across the nation deal with it," he said on the press call, joined by Houston's Mayor Sylvester Turner. "It’s the right thing to do as Americans. It’s also in our self-interest because we are all in this together.”
A new rule will now allow officials to shutter an establishment after three violations of social distancing regulations. Previously, officials could revoke a business's liquor license.
"If we do not enforce compliance, the virus will spread," Cuomo said. "It is that simple. If you eat a piece of cheesecake, you will see it on the scale tomorrow. Our actions create the response of the virus."
Cuomo said the state’s mandated 14-day quarantine rules for out-of-state travelers saw a 92 percent compliance rate, which refers to travelers who fill out forms before they leave an airport. State officials do random checks on those who fill out the airport forms, though he didn't say how many people were checked. An upstate county saw its infection rate rise after New Yorkers returned on a flight from Atlanta last week.
“It’s like any other law. You can speed, yeah, but if you get caught, you get the ticket,” Cuomo said. “This is a totally new function for state government. We have no border control. It’s not what the state does.”
Governor Cuomo Launches Nationwide Mask Campaign
Governor Andrew M. Cuomo launched a national campaign today titled “Mask Up America,” which features short PSAs from big names. Though the campaign is nationwide, it's New York-made, so the spots also feature the #NYTough motto.
Morgan Freeman, Robert De Niro, Kaitlyn Dever, Jamie Foxx, John Leguizamo, Anthony Mackie, Rosie Perez, Ellen Pompeo and Jeffrey Wright all contributed to the PSAs, which were produced by Tribeca Enterprises Jane Rosenthal and directed by Academy Award-winner Kathryn Bigelow.
As other states are seeing spikes in infection rates, the awareness campaign aims to “urge all Americans to wear a mask while in public to help stop the spread of the virus.” This week, Georgia Governor Brian Kemp disputed the importance of masks and suspended local mask mandates in the state. 6park.com
"New Yorkers suffered gravely when this pandemic hit our state and as we see other states battle the surge of COVID-19, we want to be sure all Americans know what we know here — that it is essential to wear a mask in order to protect one another," Governor Cuomo said. "We can only beat this virus if we are united as one, not divided by ideology or politics. In that spirit we worked with the best and most creative team to deliver this vital message in multiple ways and in different voices — I wear a mask to protect you and you wear a mask to protect me. It is simple as that. Mask Up America."
The campaign is in partnership with the Ad Council "for use by broadcast and digital media outlets," and will air in donated media time nationwide. The 30-second TV spots (two of which are available for viewing now) are titled: "You Have My Respect," "Join the Battle," "Come On, America," "For the Love Of," "An Easy Lift," "Face Facts," "It's Your Shift," and "Show Some Love."





Medical personnel wearing personal protective equipment work in the emergency department at NYC Health + Hospitals Metropolitan on May 27, 2020 John Minchillo/AP/Shutterstock
COVID-19 Data Disappears From CDC Site
Data from hospitals about patients and hospital capacity vanished from the Centers for Disease Control and Prevention's website this week, after the Trump administration forced the data to be sent to the Department of Health and Human Services.
The shift, according to the NY Times, "has alarmed health experts who fear the data will be politicized or withheld from the public," and prompted former CDC heads to write an op-ed in the Washington Post titled "We ran the CDC. No president ever politicized its science the way Trump has."
A spokesperson for the CDC told Gothamist this morning, "Effective July 15th, 2020, hospitals will no longer report COVID-19 capacity, staffing, and supply-related data to CDC’s NHSN. Thus, NHSN hospital-reported COVID-19 data summaries will no longer be provided." (More information can be found in this HHS FAQ letter.)
The guidance, updated on July 10th, stated, in part: "The following [testing, capacity, and utilization] data will greatly assist the White House Coronavirus Task Force in tracking the movement of the virus, identifying potential strains in the healthcare delivery system, and infoming [sic] distribution of supplies. If reporting multiple facilities at once, it is critical that this data be reported at the facility and county level of detail rather than just a total summary. Data must be submitted in accordance with the definitions and formats specified. Submit data once per calendar day." 6park.com
I had hoped it was a glitch, but no...The @CDCgov hospital capacity dashboard has gone dark. @CDCDirector has said CDC still has access to the data but apparently the public no longer does. pic.twitter.com/FyRt7YHvKc
— Charles Ornstein (@charlesornstein) July 16, 2020
Ryan Panchadsaram, who runs Covid Exit Strategy, told CNBC that they regularly use the CDC's data, but on Tuesday, "We were surprised because the modules that we normally go to were empty. The data wasn’t available and not there. There was no warning.”
According to the Times, data that had been previously submitted to the CDC through its National Healthcare Safety Network would now be sent to "the new centralized system, which is managed by TeleTracking, a health data firm with headquarters in Pittsburgh. However, if hospitals were already reporting such information to their states, they could continue to do so if they received a written release saying the state would handle reporting... Both the CDC network and the TeleTracking system set up by Health and Human Services rely on so-called push data, meaning hospital employees must manually enter data, rather than the government tapping into an electronic system to obtain the information."
In an interview this morning, HHS Secretary Alex Azar claimed the agency is solving a problem: 6park.com
.@SecAzar tells me @CDCgov's system for hospitals to report COVID19 data was outdated/insufficient. He said the only difference now that info goes to @HHSGov is the platform, insisting CDC, local, and state leaders still have access. If you could see data before but now LMK: pic.twitter.com/4brOyGu3CS
— Weijia Jiang (@weijia) July 16, 2020
Exit Strategy's Panchadsaram had thoughts about the HHS data: 6park.com
.@SecAzar also said the HHS platform was far better at answering the questions below (see transcript)https://t.co/0F6lSWqlfn, a group of public health and crises experts that tracks each state’s COVID19 progress, needs the same answers that they say are no longer accessible: https://t.co/aBfz0yauG6 pic.twitter.com/1npW6pMPG7
— Weijia Jiang (@weijia) July 16, 2020
The Trust for America's Health, a non-partisan non-profit health policy group, called the move to house data directly in HHS with a new system "counter-productive," adding that "the planning for this new approach did not substantively involve officials at the local, state, tribal and/or territorial levels. This is a time to support the public health system not take actions which may undermine its authority and critical role."
On Thursday, HHS spokesperson Michael Caputo told CNBC, "Yes, HHS is committed to being transparent with the American public about the information it is collecting on the coronavirus. Therefore, HHS has directed CDC to re-establish the coronavirus dashboards it withdrew from the public on Wednesday.”